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Organization

HOLLY BLANC MOSES, BCBA LPC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HOLLY BLANC MOSES BCBA LPC (DIRECTOR)
(865) 789-2730
Entity
Organization

Contact information

Practice address
306 N B ST, LENOIR CITY, TN 37771-2420
(865) 789-2730
Mailing address
306 N B ST, LENOIR CITY, TN 37771-2420
(865) 789-2730

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2568
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1512959
TN
Enumeration date
01/03/2011
Last updated
01/03/2011
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